A nursing home has received an inadequate rating and been put under special supervision.
The Care Quality Commission (CQC) unexpectedly inspected Hillsborough House in Keynsham in April as a result of concerns about child safety.
Faeces were discovered all over the house, and they concluded that poor leadership had contributed to the lack of cleanliness. .
The facility's operator, Freeways Trust, has been contacted for comment.
Following the inspection, both the service's overall rating and its evaluations of its leadership and safety declined from good to inadequate.
According to the CQC report, some residents felt isolated from the community and that some of the bedrooms were dirty and reeked of urine.
Inspectors discovered there were no medication audits in place and that one patient received ear spray daily for 27 days even though it was supposed to be given once a week to each ear.
According to Rebecca Bauers, director of the CQC's division for people with learning disabilities and autism, "poor leadership had undermined the standards of care people were receiving, and they weren't safe because they were at risk of avoidable harm.".
"We observed that basic concerns, such as people's safety in the event of a fire, were not taken into account because the provider did not perform things like required fire drills every three months, despite being informed in the past that we had concerns. ".
Although staff members did interact in a "kind and caring" way, Ms. Bauers claimed that the culture "wasn't dignified.".
We observed that, despite the kind and caring staff members' best efforts, Hillsborough House residents were being let down by ineffective leadership, which had an adverse effect on every aspect of their daily lives, according to the spokeswoman.
"The culture at the service wasn't dignified; people were expected to live in a filthy, offensive environment that put them at risk for infection.
"We discovered unidentified residues and debris on the walls and floors, as well as dried feces on a banister and stained surfaces everywhere.
Also filthy and smelling of bodily fluids were people's bedrooms. The staff informed us that they were unable to clean.
In one instance, urgent emergency treatment was needed because people's oral hygiene wasn't being supported. It was not acceptable. ".
Following feedback from inspectors, Freeways did make some changes, including planning a deep clean, hiring a contractor outside the company to conduct a fire risk assessment, and making adjustments to how medications were stored.
The CQC "won't hesitate" to take additional action, Ms. Bauers added, because "they have much more that needs to be addressed."
